[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-108-1-medical-surgical-073":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":62},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-108-1-內外科護理學-073","nurse-108-1-medical-surgical-073",108,1,73,"有關剛接受腦下垂體切除術後病人的護理措施，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"密切觀察有無低血容積與休克現象","密切觀察有無顱內壓升高的症狀","保持平躺，減少下肢靜脈回流，減輕頭痛現象","密切觀察有無腦脊髓液外滲的情形","C",null,[],"本題考點為經蝶竇腦下垂體切除術後的姿勢與併發症觀察，題目要選「錯誤」者。術後為降低顱內壓、減少腦脊髓液滲漏並促進靜脈回流，應抬高床頭而非平躺；選項 C 主張平躺減少下肢靜脈回流以減輕頭痛，方向相反，是錯誤護理，故選 C。選項 A 密切觀察低血容積與休克正確，因手術鄰近腦下垂體可影響抗利尿素而致尿崩、脫水。選項 B 觀察顱內壓升高症狀正確，術後出血或水腫皆可能升高顱內壓。選項 D 觀察腦脊髓液外滲正確，經鼻蝶入路易破壞硬腦膜屏障，鼻漏清澈液體須警覺。","經蝶竇入路（transsphenoidal）由鼻腔經蝶竇抵達腦下垂體，術後三大照護主軸：抬高床頭 30 度降顱內壓、避免用力擤鼻與彎腰增加壓力、監測有無腦脊髓液鼻漏。鼻漏鑑別可驗 glucose 陽性或觀察 halo sign（暈環徵）。腦下垂體受損可致中樞性尿崩（ADH 不足、大量稀薄尿）與腎上腺危象。記憶重點：頭高、勿低頭、防鼻漏。連結概念：抗利尿素、尿崩症、Valsalva 動作對顱內壓的影響。",[24,27,30,33],{"term":25,"count":26},"尿崩症",10,{"term":28,"count":29},"腦脊髓液鼻漏",3,{"term":31,"count":32},"抬高床頭降顱內壓",2,{"term":34,"count":10},"經蝶竇腦下垂體切除術",[36,40,44,48,53,58],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-108-1-medical-surgical-074","有關抗利尿素分泌不當症候群（SIADH）病人的護理措施，下列何者錯誤？",74,{"webId":41,"stem":42,"number":26,"year":43,"session":10},"nurse-109-1-medical-surgical-010","有關大腸癌病因的敘述，下列何者錯誤﹖",109,{"webId":45,"stem":46,"number":47,"year":43,"session":32},"nurse-109-2-medical-surgical-024","有關美尼爾氏症之敘述，下列何者正確？①可能原因是外耳淋巴液過多 ②症狀為雙側傳導性聽力減退 ③使用血管擴張劑減輕耳鳴症狀 ④藥物治療無效時，可採迷路切除術",24,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-110-2-medical-surgical-062","有關膀胱癌進行尿路改道手術後之照護，下列何者正確？",62,110,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-112-1-medical-surgical-026","有關急性心肌梗塞的診斷檢查，下列敘述何者錯誤？",26,112,{"webId":59,"stem":60,"number":26,"year":61,"session":10},"nurse-113-1-medical-surgical-010","有關預防傾倒症候群（dumping syndrome）的飲食建議，下列何者不適宜？",113,"2026-09-04",1788510710154]